Monday, December 28, 2020

Southern AZ COVID-19 AM Roundup for Monday, Dec. 28: 10,000+ New Cases, 42 New Deaths; Total Number of AZ COVID Cases Tops a Half-Million; Hospitals See Record Number of Patients; Pima County Under Curfew

Posted By on Mon, Dec 28, 2020 at 8:56 AM


With more than 10,000 new cases reported today, the number of Arizona’s confirmed novel coronavirus cases topped a half-million as of Monday, Dec. 28, according to the Arizona Department of Health Services.


Pima County, which reported 1,313 new cases today, has seen 67,360 of the state’s 504,423 confirmed cases.


A total of 8,469 Arizonans have died after contracting COVID-19, including 983 deaths in Pima County, according to the Dec. 28 report.


The number of hospitalized COVID cases statewide continues to soar as the virus has begun to spread more rapidly, putting stress on Arizona’s hospitals and surpassing July peaks. ADHS reported that as of Dec. 27, a record 4,390 COVID patients were hospitalized in the state. The summer peak of 3,517 hospitalized COVID patients was set on July 13; that number hit a subsequent low of 468 on Sept. 27.


A total of 1,877 people visited emergency rooms on Dec. 27 with COVID symptoms. That number, which hit a new record of 2,166 earlier this month, had previously peaked at 2,008 on July 7; it hit a subsequent low of 653 on Sept. 28.


click to enlarge Arizona set a new record of COVID patients in the ICU as the second wave threatened to overwhelm the state's hospitals. - AZDHS
AZDHS
Arizona set a new record of COVID patients in the ICU as the second wave threatened to overwhelm the state's hospitals.


A total of 1,007 COVID-19 patients were in intensive care unit beds on Dec. 27, breaking the 1,000 threshold for the first time. The summer’s record number of patients was 970, set on July 13. The subsequent low was 114 on Sept. 22.


Healthcare leaders continue to plead with public to stay home as much as possible as healthcare system is overloaded

Arizona’s largest hospital system continues to experience record occupancy levels and overflowing morgues, resulting in bodies being stored in refrigerated trucks.



Banner Health’s Chief Clinical Officer Dr. Marjorie Bessel shared in a press conference last week that 58% of the hospitals’ adult ICU beds and 74% of its ventilators are being used by COVID-19 patients.

Compared to a pandemic-free winter season, Banner hospitals are seeing 160% of their peak winter occupancy.

As more patients die from COVID-19, Bessel said Banner hospitals are seeing two to three times more bodies than they typically store in their morgues, causing some hospitals to place bodies in refrigerated trucks.

According to Bessel, nearly half of their deceased patients died from coronavirus.

Bessel said Banner expects the peak of the current COVID-19 surge to hit in early to mid-January.

“The biggest concerns as we go into that significant surge and experience that post-holidays in January will be continued strain on our health care system,” Bessel said. “We've had to take steps to reduce or stop elective surgeries and procedures. These are patients that need these procedures. In addition to that, as we have significant more surge forecasted to happen in January, it will cause additional strain on our staffing.”

Bessel’s warnings came the same week that the Pima County Health Department warned that the healthcare system is in danger of becoming overwhelmed within the next two to three weeks if the spread of COVID-19 continues at its current pace.

The advisory asks for continued adherence to the county’s mandatory mask mandate and 10 p.m. to 5 a.m. curfew.

It also asks to limit all gatherings to less than 10 people and that all businesses reduce their occupancy to 25%.

According to the new advisory, the last week has seen multiple instances of zero ICU bed availability and several days where hospital medical-surgical beds have reached capacity.

Emergency departments and hospitals face staff and critical supply shortages.

The health department is asking residents to stay home and minimize activities that involve contact with people outside of their households, stay physically distanced and practice mask-wearing and frequent sanitization.

“This isn’t just about COVID anymore and whether you think it’s a real problem or not. The patients filling these hospitals are absolutely real and if you have a heart attack, or if you get into a car accident, or your appendix bursts, there is a real possibility that you may not get the timely care you need to save your life if we don’t get control of this virus,” Cullen said. “People are dying yet many of those deaths are preventable if the people of this community stay home, wear their masks and avoid people they don’t live with as much as possible.”

Last week, Tucson Medical Center canceled elective surgeries through Jan. 4.


A letter from TMC COO Mimi Coomler and CMO Dr. Amy Beiter states that TMC is too crowded with COVID patients to move forward with elective surgeries.


“We have reached the point in the pandemic where the number of COVID patients needing care is exceeding available resources on a daily basis,” they wrote.


The letter also notes that TMC turned away 80 direct admissions in the last week.


Dr. Joe Gerald with the UA School of Public Health reported last week that as of Dec. 18, 47% of Arizona’s general ward hospital beds were occupied by COVID patients, a jump of 14% from last week.


“We are now undergoing the great ‘displacement’ such that hospital services are now being rationed so that patients with severe COVID-19 illness are displacing others who have slightly less severe non-COVID medical conditions,” Gerald wrote. “As COVID-19 illness continues to increase, delaying others’ care will become ever more difficult. At some point, hospitals will have to expand their physical capacity. Make no mistake, the COVID-19 crisis is now placing a greater share of Arizonans’ at-risk, not just those unfortunate enough to contract COVID-19.”


“Because cases have been increasing, deaths are also increasing,” he wrote. “Sharper rises are expected over the coming weeks as deaths lag new cases by 14- days and are often only made known weeks later. By Christmas, Arizona will be experiencing >500 deaths per week. However, this toll will not be apparent until mid-January once all deaths are accounted for.”


Gerald said Arizona’s spread was among the worst in the nation.


“For those keeping score, Arizona has the 7th fastest increasing COVID-19 outbreak as measured by Rt.live,” Gerald wrote. “Arizona’s effective viral reproduction number (Rt) is now 1.11. Arizona ranks 4th in the number of daily reported cases at 92.9 per 100,000 residents. We should move ahead of Rhode Island, 93.7 per 100,000 residents, this week.”


Pima County under curfew


Pima County's remains under a mandatory 10 p.m. to 5 a.m. curfew in an attempt to combat Southern Arizona's rising number of coronavirus cases.


Penalties for a nonessential business found violating curfew range from having their business permit suspended or revoked.


The mandatory curfew will stay in place until coronavirus infection rates drop below 100 per 100,000 people, according to county officials.


The transmission rate in Pima County was 357 people per 100,000 people in the two-week period ending Nov. 29, but Pima County Health Department Director Dr. Theresa Cullen expects that number to be significantly higher for the period ending Dec. 13.


The mandatory curfew comes as through the first two weeks of December, COVID-19 cases in the county reached 13,589—2,554 more cases than reported in all of November. Last week saw 70 coronavirus deaths, according to a memorandum from County Administrator Chuck Huckelberry.


While businesses will now face losing their operating permits if they don't comply with the curfew, it "carries no penalty associated with the individual, as it would be difficult to enforce a curfew against individuals without the cooperation of law enforcement," Huckelberry writes in the memo.


More details here.


Get tested: Pima County has free COVID testing

Pima County offers a number of testing centers around town.

You’ll have a nasal swab test at the Kino Event Center (2805 E. Ajo Way) the Udall Center (7200 E. Tanque Verde Road) and downtown (88 E. Broadway).

The center at the northside Ellie Towne Flowing Wells Community Center, 1660 W. Ruthrauff Road, involves a saliva test designed by ASU.

In addition, the Pima County Health Department, Pima Community College and Arizona State University have partnered to create new drive-thru COVID-19 testing sites at three Pima Community College locations. At the drive-thru sites, COVID-19 testing will be offered through spit samples instead of nasal canal swabs. Each site will conduct testing from 9 a.m. to noon, and registration is required in advance. Only patients 5 years or older can be tested.

Schedule an appointment at these or other pop-up sites at pima.gov/covid19testing.


The University of Arizona’s antibody testing has been opened to all Arizonans as the state attempts to get a handle on how many people have been exposed to COVID-19 but were asymptomatic or otherwise did not get a test while they were ill. To sign up for testing, visit https://covid19antibodytesting.arizona.edu/home.


—with additional reporting from Austin Counts, Jeff Gardner, Nicole Ludden and Mike Truelsen

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